College of Nursing, University of Central Florida, Orlando, FL 32816-2210, USA.
Cancer Nurs. 2012 Mar-Apr;35(2):83-8. doi: 10.1097/NCC.0b013e31821a3843.
The majority of older (aged ≥65 years) women diagnosed with breast cancer are in the early stage. However, little is known about older women's posttreatment concerns in the early stages of survivorship.
The purpose of this study was to describe posttreatment-related concerns of older, early-stage breast cancer survivors.
Fifty older women who completed treatment for early-stage breast cancer participated. Participants were interviewed within the first year since diagnosis. Content analysis was used to analyze transcripts about concerns after treatment.
Older women experienced treatment-related adverse effects, but often discussed non-cancer-related concerns as being more pressing than concerns from breast cancer. Older women accepted treatment-related adverse effects as part of life and often attributed adverse effects to causes other than breast cancer. Older women also engaged in "compartmentalization," in which they separated past cancer experiences from everyday life.
Non-cancer-related concerns often overshadowed concerns from having had breast cancer. Compartmentalization was used to cope with cancer as a past, not current event.
New insights on how older women view their disease after treatment can guide nurses in educating older breast cancer survivors about treatment-related adverse effects.
大多数被诊断患有乳腺癌的老年（≥65 岁）女性处于早期阶段。然而，对于老年女性在生存早期阶段的治疗后担忧知之甚少。
本研究旨在描述老年早期乳腺癌幸存者的治疗后相关问题。
50 名完成早期乳腺癌治疗的老年女性参加了研究。参与者在诊断后一年内接受了访谈。采用内容分析法分析了关于治疗后担忧的转录本。
老年女性经历了与治疗相关的不良反应，但她们经常将非癌症相关的担忧视为比乳腺癌相关的担忧更为紧迫。老年女性将治疗相关的不良反应视为生活的一部分，并经常将不良反应归因于乳腺癌以外的原因。老年女性还采用了“分隔”的方式，将过去的癌症经历与日常生活分开。
非癌症相关的担忧常常掩盖了患有乳腺癌的担忧。分隔用于应对过去而非当前的癌症事件。
了解老年女性在治疗后如何看待自己的疾病，可以指导护士对老年乳腺癌幸存者进行有关治疗相关不良反应的教育。
